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Facial Plast Surg
DOI: 10.1055/s-0044-1785452
Original Article

Advanced Deep-Plane Rhytidectomy: Advantages for Neck Treatment and Volumization of the Midface

Neil A. Gordon
1   Department of Surgery, Head and Neck Aesthetic Surgery, Section of Otolaryngology, Yale School of Medicine, New Haven, Connecticut
2   New England Surgical Center, The Retreat at Split Rock, Facial Plastic Surgery, Wilton, Connecticut
,
Donovan B. Lockwood
1   Department of Surgery, Head and Neck Aesthetic Surgery, Section of Otolaryngology, Yale School of Medicine, New Haven, Connecticut
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Abstract

The aged neck is the most common motivator for patients seeking facial rejuvenation. Unlike the deflated midface, surgical treatment is still the gold standard for optimal outcomes. It is our view that the majority etiology of both the aged neck and deflated midface is gravity's effects on the superficial soft tissue envelope, leading to soft tissue redundancy. It is also our view that the deep-plane rhytidectomy is supported by anatomy, embryology, and clinical evidence as the best methodology to treat soft tissue redundancy without producing the aesthetic and longevity issues associated with superficial musculoaponeurotic system techniques. As one of the early pioneers in deep-plane rhytidectomy, the lead author will define contemporary advances in deep-plane technique such as dissection entry point, flap design, and flap fixation concepts that allow aggressive approach to treating both the aged neck and deflated midface.

Keywords

rhytidectomy - deep plane - aging


Publication History

Article published online:
28 March 2024

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